ML19209C894

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Forwards Substitute Form 255 Re Mod 3 to State Transportation Surveillance Program. Contractor:State of Mi Dept of Public Health
ML19209C894
Person / Time
Issue date: 09/28/1979
From: Mark Flynn
NRC OFFICE OF ADMINISTRATION (ADM)
To:
NRC OFFICE OF ADMINISTRATION (ADM)
References
CON-FIN-B-1612, CON-NRC-06-77-051, CON-NRC-6-77-51 NUDOCS 7910180447
Download: ML19209C894 (1)


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M ':r ROUT NG AND TR/.NSM'TTA' SLIP 9/28/79 l

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%,.s E! 4$ 1,a I$ s D%Ns Please substitute this Form 255 for the one that you received the other day.

Some minor corrections were needed.

Thanks DO NOT use this form as a RECORD of approvals, concurrences, d.sposals, clearances, and s.milar actions WRoM: (Name, org, symbol, Agency / Post)

Room No.-Bldg.

286 SS Mark Flynn, Pnone No.

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OPTIONAL FORM 41 (Rev. 7-76)

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a CONT R ACT NUMBE R NRC FORM 255 (10-76)

NRC-06-77-051 DIVISION OF CONTR ACTS MODIFIC ATION 'J MBE R U.S. NUCLE AR REGULATORY COMMISSION 3

WASHINGTON, D.C. 20555 ONEW

% MODIFICATION OT H E R ISpecttv)

NOTIFICATION OF CONTRACT EXECUTION CONTRACT BASED ON:

To:

Robert Ryan. Air!. 'ar AUTh0RIZATION NUMBER (Titiel RFPA No. OSP-77-051 Office of State Proarams DATE July 18, 1979

") l 7/2 77 Extend period of performance 1

m CONTR ACT CH ANGES PER THIS ACTION E

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for one year and add additional Mark Flynn funds.

Administrative Contracts Branch DIVISION O.'

'TR ACTS, ADM CONTR ACTOR (Name & Locar,on)

EXECUTION DATE State of Michigan 9/2n/79 Department of Public Health TYPE OF CONTRACT Lansing, Michigan Fixed Price PROJE CT TITLE PERIOD OF PERFORMANCE 9/1/79 - 8/31/80 State Transportation Surveillance Program PRINCIPAL INVESTIG ATOR Marie Janinek NRC AUTHORIZED REPRESENTATIVE B&R NUMBER FIN NUMBER AMOUNT 80-60 B 1612 NEW NRC FUNDS S 20:000.00 FUNDING TOTAL FY 7_g FUNDING

$ 20,000.00 TOTAL NRC OBLIG ATIONS

$ 42,500.00 GOVERNMENT PROPERTY ATTACHMENT (St.

CONTRACT DOCUME NT (

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NRC FORM 255 1176 176 n / co + o < o 7 pur e